EMS EXPO ATTENDEES
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Nutrition & Wellness - Keeping Yourself off the Gurney!
Nutrition and wellness are rarely taught within medical education, yet it's endlessly proven that the importance of nutrition and wellness often supersede clinical algorithms and medical prescriptions. From basic nutrition and metabolism, to advanced dietary restrictions, we are not near as educated as we should be. "Healthy" eating is not as simple as choosing an apple over a brownie. Defining a healthy lifestyle and teaching how to create it, is important. Teaching how to make it a priority and successfully maintain it, is critical. As medical providers, we should have baseline knowledge about the importance and value of food as fuel. We should know lifestyle focused statistics, risk factors, and prevention for diseases. We need to learn how to prioritize our own health and lifestyles, not just so we can stay off the gurney, but also so we can be healthy role models for our sick patients.
Prehospital Pain Control with Acetaminophen: A Novel Pain Control Therapy with a Not So Novel Drug
Addressing pain in the prehospital setting is vitally important to both the clinical care and patient satisfaction of individuals who are experiencing pain. With the rise of the opioid epidemic that has affected the county over the last several years we have an obligation as healthcare providers to explore non-opiate based pain management options. We have been utilizing Intravenous Acetaminophen for over two years now and have presented multiple abstracts on the efficacy of Intravenous Acetaminophen in the prehospital setting. In this session we will discuss the results from our experience. We will also be coving the pharmacology of Intravenous Acetaminophen along with other pain management options. We will also be comparing the efficacy of other pain management options covering both opiate based and non-opiate based with various routes of administration . The session will also cover the lessons learned from our experience and some best practice implementation strategies.
Mobile Integrated Health- Fighting Cancer on the Front Lines
Mobile integrated health programs across the country have demonstrated significant success in the reduction of emergency department utilization and preventable re-admissions based on various community needs assessments. Our own organization has demonstrated significant reduction in low acuity, high frequency ED visits and hospital admissions for patients with chronic medical conditions such as congestive heart failure and diabetes. We serve as an example for other agencies working to serve their communities in a proactive versus reactive manner. Most recently, we have collaborated with our hospital oncology program to provide treatment to chemotherapy patients in their homes, therefore reducing negative outcomes, emergency department visits, and hospital admissions for this vulnerable population. This has been particularly important during the COVID pandemic as these patients are particularly susceptible to infection. This presentation will highlight how we developed our sustainable revenue model, our collaboration with oncology providers to develop the education, training, guidelines, and special skills required to safely and appropriately treat cancer patients, and the demonstrated results of cost savings and improved patient outcomes.
Meet the Medical Directors Part I
Led by leading members of the so-called “Eagles” coalition, a de facto alliance of the jurisdictional EMS (9-1-1 system) Medical Directions from the nation’s largest cities and key federal agencies, this panel will explore distinct challenges to accepted practice. The Eagles have a track record for putting forth creative new approaches to problem solving in EMS along with novel observations and a wealth of EMS system data that have routinely changed future practices. In this session, Dr. Pepe, the main coordinator of the Eagles consortium, will moderate and introduce the other speakers who will report some of the latest discussions from this cohesive and very influential cadre of physicians and provide their vision of recent crises and things to come over the next decade.Learning Objectives:• Describe updates to management of cardiac arrest• Describe medical management of agitation• Describe updates to airway mangement
Speakers: TBD
Speakers: TBD
Lunch & Learn: Beyond Chart Review: Creating a Data-Driven CQI Program
CQI is so much more than just reviewing charts; the power of a CQI program can truly benefit your organization and help bring data-rich information to your crews. During this Lunch & Learn, we will discuss tips and tricks to streamline documentation and maximize data quality - while meeting your reporting standards and keeping crews happy. We will discuss how a robust CQI program and processes to capture accurate data is needed to get the data out of your system and put it to work for you.
This is presented by ImageTrend.
This is presented by ImageTrend.
Learning Center: Protecting Patient Access to Emergency Medications Act of 2017
Senior Level EMS Compliance Mgt.: New Independent Operations DEA Registrant Requirements for Controlled Substances Management, Implementation, Integration, Compliance and Standard Operating Procedures Overview including benefits and pitfalls. DEA Proposed Rulemaking Becoming Law-Registering Emergency Medical Services Agencies Under the Protection to Patient Access to Emergency Medications Act of 2017 (Hudson Act) RIN 1117-AB37/Docket No. DEA-377 Scripps Safe will present on expanded access to controlled substances by emergency medical services agencies for administration to patients during emergencies. Presenter will address point by point the regulations to prevent controlled substance diversion with specific recommendations to comply and with such. Consideration and implementation of best practices that will provide greater control, transparency and accountability by the emergency services agencies storing, inventorying, dispensing, administering, and disposing of the controlled substances they handle.
ISS ORAL ABSTRACTS SESSIONS 1
The first session in the International Scientific Symposium is a fast-paced blend of presentations. The panelists will moderate the session, leading off with “must-know” project summaries and blending in original projects during which the primary investigator will have 15 minutes to describe their research. After each abstract the audience will have the opportunity to make comments and ask probing questions.
Injuries Caused by Seatbelts
Seatbelts are used as safety devices in cars, trucks, planes and even amusement rides to provide protection to humans in the event of a collision or equipment failure. While seatbelts have been proven to save lives, there have been incidents where people have suffered severe injury from wearing a seatbelt. Seatbelts can cause pressure on the abdomen and result in serious injury to internal organs. Responders will have to depend on there assessment skills to recognize the injury in many cases and it will require excellent patient care if these patients are going to make it to surgery within the Golden Hour. During this session first responders, EMT’s, Paramedics, Nurses and Physicians be amazed by this unique slide show that shows injuries caused by seatbelts. We will discuss how to perform a complete assessment of suspected neck, back and abdominal injuries caused by seatbelts. We will discuss both BLS & ALS treatment and care.
Increasing Paramedics in the Field
Since COVID -19, Emergency Medical Services has seen a drastic turnover of providers, and it continues to get smaller. COVID has caused many issues, from educational institutions shutting down to paramedics leaving to work in hospitals because of a nursing shortage that pays higher wages. To address the shortage, Texas is trialing a civilian to Paramedic program. Since so many allied programs have no prerequisites to enter their programs, why should EMS? For instance, do you have to be a CNA before becoming a nurse? Do you have to be a Physician Assistant before you become a doctor? It can be pretty costly and time-consuming with the amount of time and money of becoming a Paramedic. The Department of State Health Services allows two programs to pilot this new concept. We are not saying that there is no more EMT-Basic; we are fast-tracking to a Paramedic program where you do not have to be an EMT-Basic before becoming a paramedic. Del Mar College has just finished the first pilot and has a great success story. This course will share with you the partnership Del Mar College and the Corpus Christi Fire Department have made to make this program successful.
EMS Leadership Challenges From Around the Globe
This presentation focuses on adaptable leadership in some of the most remote and hostile environments on earth. The challenges of delivering medical care and developing medical care providers in the countries of Iraq, Afghanistan, South Sudan, Kenya, the Democratic Republic of Congo as well as aboard a ship in the North Sea above the Arctic Circle will be detailed. Whether taking care of Blackwater team members in Iraq or teaching the Afghan presidential protection detail tourniquet placement, knowing the culture of your team and understanding where your fellow medical providers are at personally and professionally is vital to successful local team building. Emphasis will be placed on how nonverbal communication skills can transcend cultural and language barriers.
COVID-19 Effects on EMS Education and the Future
The COVID-19 pandemic has changed the way we deliver EMS education both for initial and continuing education. The purpose of this presentation is to examine the latest data regarding the educational effects and barriers caused by COVID-19. But more importantly we will discuss the solutions that have been developed nationwide to address these educational barriers.
EMS Care at End-of-Life
Traditional EMS care - 911 response, resuscitative care, and transport to an ED - may not be consistent with patient wishes at end-of-life, and furthermore, this traditional approach may lead to unwanted discomfort for patients. EMS providers have an opportunity to ethically and morally provide care that leads to a better experience for patients at end-of-life. Case presentations will be used to provide examples of care that meets patient wishes, improves patient care, and leads to a sense of provider satisfaction. Cases of untoward outcomes in patients at end-of-life who receive traditional care will also be covered. Understanding end-of-life issues, advanced directives and POLST programs, and palliative care approaches can lead to gratifying experiences for EMS providers in helping to care for patients at end-of-life.
How to Get Your First Scientific Poster Accepted: The Researcher's Rite of Passage
Everyone remembers their first scientific conference poster: they may be the bottom rung of the research-presentation hierarchy, but they are still publications, and they underpin many conferences. And whilst the process of abstract submission, followed by poster design and production are easy when you know how, if you don't have anyone to show you the ropes, the whole process can look very daunting. This session is designed for delegates who have never had a conference poster published, but would like to learn how it all works - be that one day in the future, or because you have work ready to submit. We'll cover how even small-scale projects (audits and service evaluations) can make great conference posters, how to pick a target conference, how your abstract is an "elevator pitch" of your work, and then what to do if it is accepted!
Home Medication Heartache
It seems there is a pill for every ill. Knowing which medications to use in a prehospital emergency is one thing, but understanding the thousands of medications used at home by patients and their interactions is quite another feat! This session will focus on the mechanism of action of cardiac drugs by class in order to ensure participants leave with knowledge of the most common drugs and most lethal drug interactions in the field. This session has pearls of wisdom for all levels of providers.
Has Video Laryngoscopy changed the playing field in advanced airway management?
The ups and downs of advanced airway management have the potential to see a radical change with advent and expansion of video laryngoscopy. What is the science, what is the use, and what is the experience of using video. This class will review the evolution of video, and various types of video devices. It will also document how it has affected the performance and success of intubation. Most importantly it will discuss how recorded video can be used for education, quality management, and medical legal purposes. Our own system has almost 18 years of experience using and researching video. Lastly, the presentation will discuss airway alternatives, such as SGA, that pairs with video.
Are Today's EMS Education Programs Ready for Tomorrow's Students?
With an increasing emphasis on the EMS staffing shortage, it is imperative that EMS Education programs of today, ensure they are meeting the needs of tomorrow’s EMS students. While some education programs have been around for decades, it is important to ensure those programs have adapted and adjusted to the changing times, just as EMS Providers have had to adjust to changing science. Gone are the days where educators should expect students to “have no life” in place of studying/school, expect students to endure rude or unprofessional preceptors, or expect students to tolerate a lack of flexibility in the learning process. Personalized learning, adaptive and mobile learning resources, caring and understanding of student challenges and being able to adapt to them are just a few of the characteristics many Generation Z students expect. This session will highlight successful strategies to manage this new generation of students.
Incident Command for EMS
This session is designed to help Prehospital Care Practitioners, Firefighters and other participants manage EMS incidents involving Mass Casualties using the Incident Command System (ICS). A Mass Casualty Incident is best described as an incident that places excessive demands on EMS personnel, equipment and the EMS system. Some EMS Practitioners refer to this as Chaos.
We will learn about Mass Casualty Incidents that include Apartment and Highrise fires, Acts of Gang Violence, Motor Vehicle Collisions and School Shootings. Mass Casualty events can occur anywhere including concerts, sporting events, parades, holiday celebrations, music festivals, protest & spring break.
During this session we will learn the Incident Command System for EMS and discuss the Unified Command System. We will take a look at the different roles of responders and how working together can help manage incidents with less confusion, stress and problems. We will demonstrate that ICS can work for both small and large incidents.
We will review setting up EMS sectors including Triage, Treatment, Transport and Staging, will discuss the use of Triage Tags, Tarps & Ribbons and will discuss reunification.
At the end of the session, hopefully you will be better prepared to “Organize Chaos”.
We will learn about Mass Casualty Incidents that include Apartment and Highrise fires, Acts of Gang Violence, Motor Vehicle Collisions and School Shootings. Mass Casualty events can occur anywhere including concerts, sporting events, parades, holiday celebrations, music festivals, protest & spring break.
During this session we will learn the Incident Command System for EMS and discuss the Unified Command System. We will take a look at the different roles of responders and how working together can help manage incidents with less confusion, stress and problems. We will demonstrate that ICS can work for both small and large incidents.
We will review setting up EMS sectors including Triage, Treatment, Transport and Staging, will discuss the use of Triage Tags, Tarps & Ribbons and will discuss reunification.
At the end of the session, hopefully you will be better prepared to “Organize Chaos”.
Bridging Prehospital and Hospital Based Traumatic Brain Injury Care
Traumatic brain injuries impact 69 million persons each year; 1.5 million of these injuries occur in the United States and more than 227,000 are hospitalized. Proper TBI care is needed to reduce mortality and long-term morbidity. But, what is this proper care, and how do prehospital care interventions influence what happens after patients arrive at the trauma center? Join Kevin has he takes you deep into traumatic brain injury physiology and links this understanding to the care provided on the streets. Together we will take the next step and discuss the current evidence supporting, and refuting, prehospital TBI interventions, and discuss how our prehospital interventions influence care after admission to the trauma center. Are you considering hypertonic saline? Interested in seizure prophylaxis? Is there a role for early antibiotics? Can labs drive our care? Walk away ready to ensure your next TBI patient's care is a true bridge from the field to the intensive care unit.
Alternate Destinations For Psychiatric and Sobering Patients
In California, by statute, patients that contact 911 can only be transported to licensed Emergency Departments. In Los Angeles County, psychiatric patients are required to be transported to the nearest Emergency Department, regardless of psychiatric capabilities. Beginning in 2019, the Los Angeles County Fire Department (LACoFD) began a pilot project to use telemedicine to enable a medical clearance to transport mental health patients to psychiatric urgent care centers. The result of the pilot has been hundreds of patients transported to centers designed and resourced to optimize their care while reducing ambulance patient offload time (APOT). While the LACoFD used nurse practitioners and physicians to validate the triage tool, the instrument is well within the paramedic scope of practice. In this talk, we will discuss the statutory and political barriers, the reasons why patients benefit, the tangible benefit to EMS providers, and a vision for the future.
Collaborative Action Drives Impacts of a First Responder Health and Wellness Coalition
Learn about the evidence-based approach to addressing health promotion for First Responders at the organizational level, through incorporation of a Health and Wellness Coalition. This presentation will describe the coalition, key priorities, and potential outcomes for the first responder population.
The socio-ecological model of health and behavior change identifies different levels of intervention in which to influence health. These include the individual; the family, unit, or group; the organization and community; and federal and national levels. A First Responder and Frontline Healthcare Worker, Health and Wellness Program adopted the evidence-based approach to addressing health promotion at the organizational level, through incorporation of a Health and Wellness Coalition. This presentation will describe the coalition, key priorities, and potential outcomes for the first responder and healthcare population.
Since it’s creation in 2020, the coalition has collected needs assessment data across the population to identify critical health and wellness priorities; develop strategic objectives; and drive towards action through technical solutions; strategic partnerships, and collaborative endeavors with research and practice.
This presentation will describe the strategic framework for a health and wellness coalition; describe the process utilized to drive consensus and action; and present examples of the outcomes from the strategic plan to date.
The socio-ecological model of health and behavior change identifies different levels of intervention in which to influence health. These include the individual; the family, unit, or group; the organization and community; and federal and national levels. A First Responder and Frontline Healthcare Worker, Health and Wellness Program adopted the evidence-based approach to addressing health promotion at the organizational level, through incorporation of a Health and Wellness Coalition. This presentation will describe the coalition, key priorities, and potential outcomes for the first responder and healthcare population.
Since it’s creation in 2020, the coalition has collected needs assessment data across the population to identify critical health and wellness priorities; develop strategic objectives; and drive towards action through technical solutions; strategic partnerships, and collaborative endeavors with research and practice.
This presentation will describe the strategic framework for a health and wellness coalition; describe the process utilized to drive consensus and action; and present examples of the outcomes from the strategic plan to date.